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anyone had prostate surgery? how did it go?


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Posted
5 minutes ago, Phoenix Dave said:

You seem to LOL a lot. It did happen to me, at the Bangkok Hospital Pattaya Eye clinic. My 3rd scheduled visit of 4 was 15 % higher in cost than visits 1, 2, & 4. All the same tests, all the same treatments. Brought a bargirl (AGG girl actually) was the only difference.

did you take it up with them??

ffs i've never had anything of the sort. my ex has been babysitting me at the hospitals since my prostate shat the bed. that said, she's not a bargirl, educated, etc. if they tried to pad a bill her Wrath would have them quickly retract it.

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Posted
8 minutes ago, Phoenix Dave said:

You seem to LOL a lot.

taking a hooker with you to a hospital IS pretty funny

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Posted (edited)
1 hour ago, schnytzal said:

for the guys who've had the (MRI-guided) transperineal biopsy...

how rough was it? i've already decided i'm not driving, so that's not an issue. Pacific Cross have already decided to reject the doctor's request for 1 day observation in hospital. should i stay near the hospital for a night just in case?

I had the transrectal method biopsy, where the probe taking the samples enters from the rectum. It was done under anathesia and I woke up afterwards feeling OK, and took a Bolt taxi home, which was only about a 20-minute ride.

I think I felt vague discomfort and some pain, but nothing bad.

In the later minor surgery to prepare for radiation therapy, the doc inserted gold "seeds" in each prostate tumor, as well as injecting a "hydrogel" protective spacer between the prostate and anal sphincter.

There was a bad moment when checking in, when the nurse asked me for an emergency contact number of a friend or relative.

I had no name to give her because I have no friends in Pattaya, although I have lived here 5 years.

But she insisted.

I was stumped. I finally looked up on google my apartment building and gave them the hotel phone number and the name of a front desk clerk listed  on the website.

I was mildly amused, because if the hospital had called the Thai clerk, she would have no idea who the fuck I am, and why they are calling her.

I realized in that moment that it's not good to live like this, but it is what it is.

Edited by kingofsurf
Posted
29 minutes ago, kingofsurf said:

There was a bad moment when checking in, when the nurse asked me for an emergency contact number of a friend or relative.

yeah that's far from ideal. i'm fortunate in that my ex-gf has unilaterally decided i need a babysitter and goes WITH me most of the time.

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Posted
On 01/10/2024 at 16:26, kingofsurf said:

So if you have a terminal illness and are sitting in the hospital waiting area for your next doctor appointment (presumably alone), you will not feel lonely?

You won't wish someone could be with you, so you are not totally alone in your fear and sadness?

I would have to say I think I have reached that stage.

 I have friends but more importantly I'd pay monthly for a fake girlfriend or carer, that will do

Posted (edited)
7 hours ago, kingofsurf said:

There was a bad moment when checking in, when the nurse asked me for an emergency contact number of a friend or relative.

I had no name to give her because I have no friends in Pattaya, although I have lived here 5 years.

It is important to tee someone like that up as you get older. Someone could get friendly with a couple of massage girls who would be happy to help when needed for a fee of course, i had one come to Queen Sirikit with me the other day, mostly thai speaking in that hospital, she was great

Edited by Scuba+
Posted
6 hours ago, Scuba+ said:

 I have friends but more importantly I'd pay monthly for a fake girlfriend or carer, that will do

nurse salaries run as low as 20k a month. some in Bangers FL to make extra money and some quit nursing because the money for fucking is better than for mopping up blood. i know this because i'm keen on uniforms...

never having been interested in having a girlie on a long term contract i don't know how prices for a nurse on a long term contract compare, but seems like a do-able option. if i go to shit on my way to the exit slowly rather than quickly i may hire a nurse even IF i have a girlfriend. that said if i'm in the process of going to shit i'm unlikely to be all that able to screw anyway, so she'd probably just be a nurse, not one offering 'special services'

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Posted
6 hours ago, Scuba+ said:

It is important to tee someone like that up as you get older. Someone could get friendly with a couple of massage girls who would be happy to help when needed for a fee of course, i had one come to Queen Sirikit with me the other day, mostly thai speaking in that hospital, she was great

make sure you get someone competent at handling paperwork, arguing with insurance, etc.

Thais generally are expected to take care of their parents. thus many Thai girlies have this kind of experience. HOWEVER, most bar girls/gogo girls DO NOT, they take care of parents by sending most of their income home. if one were to tee up a girlie who wants to transition out of bar work to domestic life, you'd probably have to show her the ropes of navigating insurance companies etc.

you could probably hire a part time personal assistant to sort this stuff on the cheap, too. i have a part timer over and above the obligatory 4 employees my company has, she handles all government papers, and even tops up my Easypass.

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Posted

it looks like hospital and insurance company are at an impasse over 1 night stay in case i bleed out after biopsy, but transperineal is considerably lower risk of infection, etc. and i can get myself to the ER if i'm bleeding excessively.

ex GF thinks we should stay near Siriraj-P... (i call it P... because the 2nd word is long and forgettable, and there are other hospitals called Siriraj, P.... is the Mahidol teaching hospital, and semi-private, and the one with HoLEP, a prostate cancer specialist, and all the latest toys including the machine that goes "ping" )

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Posted

oddly enough, when i'm at a hospital for *me* and it's more than a routine health check, i don't lust after the nurses regardless of how hot. which is odd considering how i'm willing to pay FLs extra to wear the uniform if/when i find out theyr'e nurses LOL

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Posted

PS regarding "emergency contact," i highly recommend this person be Thai, and competent at navigating hospital bureacracy etc. my sample may be skewed but pretty much all my foriegn friends are selected for 'are they fun to hang out with' not 'are they reliable in a pinch.' besides that they, too, are old farts and may well kick off before i do

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Posted

This is both on topic & off topic

 

  • Haha 1

 

 

Posted
22 hours ago, schnytzal said:

PS regarding "emergency contact," i highly recommend this person be Thai, and competent at navigating hospital bureacracy etc. my sample may be skewed but pretty much all my foriegn friends are selected for 'are they fun to hang out with' not 'are they reliable in a pinch.' besides that they, too, are old farts and may well kick off before i do

Having recently had some involvement when a good friend and BM passed away in hospital, I would agree with this. I have some Thai language, but not really enough to deal with the whole process, the hospital admin, organisng the paperwork, preparing for the cremation and such. His young GF proved surprisingly competent at most of these tasks. The only real thing I was involved in was liaising with his family, organizing the repatriation of his ashes and liaising with the Embassy.
She was amazing and strong, he would have been so proud of her.

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Posted

Norman Swan discusses changes to prostate cancer screening

 

Life must be lived forward, but can only be understood backwards.

Posted
On 03/10/2024 at 20:42, schnytzal said:

for the guys who've had the (MRI-guided) transperineal biopsy...

how rough was it? i've already decided i'm not driving, so that's not an issue. Pacific Cross have already decided to reject the doctor's request for 1 day observation in hospital. should i stay near the hospital for a night just in case?

Sorry for late response, but here is my take.  (a bit longwinded):

The actual biopsy procedure scared me a bit, but in the end it was almost a non event, I was sedated and didn't feel a thing. Due to  my age, (I am about 5 or 6 years ahead of Kingofsurf) the doc also recommended staying the night, which I did. If cost had been an issue, I would have stayed in a hotel nearby, since I live about 40 km from BPH.
My only issue was that the procedure ended up causing me to have hemarroids ("piles") as I found when I woke up. I have had them before and it annoyed me, I thought it may have been good if the doc would have warned me of that possible outcome. However, they cleared up after a week or two using the cream.
Because of this, I suggest you take  anti constipation tablets for a while. Resting and not moving a lot may cause constipation which is much worse when you have piles.

The outcome was same as KOS, some cancer confirmed, so decision made to radiate at BH in Bangkok.

Before that I had similar procedure as KOS, having a shield and some gold markers inserted in BPH.

A  hiccup in the system occurred, I tried to have that procedure done a.s.a.p., but the Urology admin said it would take another 2 or 3 weeks after the varous test and scans that followed the biopsy. 
I questioned that, and the nurse I spoke to let slip that was because it was the first time for my doc to do this procedure and he was still training for it.... (Not sure if she was suppose to tell me that.)

So I went back to do my research , looked at my docs study back ground and training. I had so far been happy with him, but was a bit annoyed that i maybe his first patient for this thing. I looked at other hospitals as well as  BPH and found Dr Niti, who appeared to have done longer years as Urologist and many more training overseas, in different Western countries.  I got back to urology at BPH, created a slightly dodgy excuse for my urgency to have the procedure earlier and asked if maybe Dr Niti could do this much earlier.
The responded the same day and said "OK , come in two days, Dr Niti can do it.

I was admitted the night before the op, since they had me scheduled for relatively early the next morning.
At about 8.00 PM, my original doc came to my room and said he was sorry to tell me they had to postpone by at least a few days.  He said that while discussing my case with Dr Niti, reviewing the scans, they confirmed his earlier uncertainty about the cancer being very close to where the Urethra touches the bladder, and wanted to consult another specialist  before proceeding. I was a bit disappointed  but happy they decided to get another opinion.
He explained they consulted a doc at Samitivej Hospital , which he said was the place with the highest number of this type of procedure in Thailand, e.g. the most experience (It is a fairly new procedure in Thailand )

The specialist there that was currently working and available (it was saturday evening at the time) had looked at the scans they sent him, agreed with their concerns and suggested it maybe best if they could discuss it on Monday morning when Urology in Samitivej had a group consultation with all their urologists.

I could just go home and they'd get back to me. I was satisfied with that.

Three days later BPH doc contacted me and said Samitvej was prepared to send down a team headed by a professor in urology (their head of department) to do the procedure here in BPH the week after.

Again, no complaint from me.

So a week later I was prepped and wheeled into the Op room, to find about 15 gowned up people looking at me and welcoming me.  I understood (later confirmed) that they decided to use the opportunity as a training demo forr local specialists as well. So they put me under and I woke in recovery.

They took me back to my room, the head nurse of the ward come in and said she wanted to inspect my operation site for any bleeding, minimal bandaging. But before she started that I noticed that about six nurses had entered the room and were standing observing me (maybe another staff training exercise). So here I was, surrounded by six nurses (some of them very cute, I was pleased that i was still somewhat sedated, because otherwise I may have feared that lying spreadeagled naked on a bed surrounde by six women staring at my crotch may have cause me some embarrassment . the head nurse inspecte my wound ( of couse I couldn't see anything,) and seemed to approve. "looking good, do you mind if I take  a picture", whipping out her phone.

"No, I don't mind as long as you promise not to put my picture on TikTok". 

The loud giggles that followed were inevitable....

No pain any time after, no discomfort.

Don't worry about it!

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Posted
57 minutes ago, Encora said:

Having recently had some involvement when a good friend and BM passed away in hospital, I would agree with this. I have some Thai language, but not really enough to deal with the whole process, the hospital admin, organisng the paperwork, preparing for the cremation and such. His young GF proved surprisingly competent at most of these tasks. The only real thing I was involved in was liaising with his family, organizing the repatriation of his ashes and liaising with the Embassy.
She was amazing and strong, he would have been so proud of her.

also, no matter how long you live here, cultural differences are real and you'll never master them. it's not at all like moving to a country with a culturally diverse population like the US or UK. how do you spot expats who believe they understand Thai culture? easy. their behavior, and Thai people's reaction to it, demonstrates they don't undertand Thai culture. That said even having been here a long time, the 'foreign idiot' card CAN be a useful play. if you have a Thai with you then you can do good cop/bad cop.

double also, if that person is gonna be your girlfriend, vet her for handling crises. do something harmless like take her with you to the DLT to do paperwork on your license or something like that, you'll see. doesn't mean  rule out bargirls, some are quite competent, but you'd want one of those.

also there WILL be some stigma if you are with an obvious bargirl/ex bargirl. it won't be obvious but it's there. Thais approach banging hookers VERY differently, guys that can afford it usually have families so most do it on the downlow even when they have mia nois with entire second families.

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Posted
1 hour ago, Zeb said:

Norman Swan discusses changes to prostate cancer screening

 

worth noting that screening at Bumrungrad and Siriraj P are both up to date according to this guy and what Ted Schaffer (see link for book, or Peter Attia's podcast episodes on prostate). i wasn't impressed with Bangkok Hospital Pattaya (i was drinking with friends and afterrward i could not piss, thus the ER and then Urology clinic). finger up the butt is still useful for getting a general idea. also the guy was a TURP guy (BPH not cancer). TURP has advantages over Rezum, in that it allows biopsy, can remove more tissue, etc. but HoLEP is less likely to have side effects. it's not a coincidence, i think, that the hospitals with HoLEP are up-to-date with screening.

biopsy monday, if no cancer found i'll likely go with HoLEP. if cancer, radical prostatectomy is most likely. my prostate is 90 grams and the symptoms that got me in for screening were due to BPH. PSA ratio is right on the 'could go either way' line, so we'll see.

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Posted
On 03/10/2024 at 20:39, schnytzal said:

HOSPITALS??? LOL not really. a) every hospital i've been to has standard rates for everything. at Siriraj these rates are higher for foreigners (double pricing!) but also pretty much standard. and Siriraj is still cheaper than other private hospitals, even after the forigener surcharge. b) depends on the 'young pretty.' if she talks/acts like a bargirl then that will be people's impression, and they can EASILY tell. but the hospital still won't "bill you accordingly." if this has happened to you please tell me which hospital so i can avoid it LOL

Siriraj hospital in Bangkok does have a expat surcharge but it is 25%.  Not too bad when the original price for treatment is so much less than any private hospital.

image.png.6eb5df3c4b99a4189996c2a21d8f14af.png

Posted

Phyathai Siracha has a promotion for the Rezum until Dec 31 for 180,000. Two days / one night stay. Exclusive of testing. I saw it was advertised on social media. 

If it floats, flies or fucks, RENT IT!!!!! "He who hesitates, masturbates"

Posted

image.thumb.jpeg.60461ad6b43a592b4c7d86827364e452.jpeg

If it floats, flies or fucks, RENT IT!!!!! "He who hesitates, masturbates"

  • 2 weeks later...
Posted
On 05/10/2024 at 19:33, udontony said:

Siriraj hospital in Bangkok does have a expat surcharge but it is 25%.  Not too bad when the original price for treatment is so much less than any private hospital.

it ends up being not that different to most private hospitals, the savings is slight. however, for BPH and, possibly, prostate cancer, i'm interested in 2 doctors, and the other one's at Bumrungrad which is not as overpriced as people assume but still probably the most expensive hospital.

biopsy done, results 28th.

recovery  from biopsy has been rough, but only because i've been on a catheter for so long (since 7 July). prostate fluid leaks around the catheter. the first few days after the procedure this was about once an hour. it was... intense.

doc confirmed all symptoms are BPH symptoms, the visible lesion, whom I have named Spot, isn't big enough to cause a ruckus. will find out on the 28th if Spot is the sort of lesion likely to cause a ruckus. if not i may go for HoLEP, all the rmoved tissue can be biopsied unlike Rezum. if the biopsy finds cancer then it'll probably be radical prostatectomy. radiation as a main option doesn't sound great for me, because the BPH issue would still need treatment.

PSA and PSA density are RIGHT on the line for is it BPH only or BPH and cancer, so it remains a mystery until the 28th. strangely enough i'm not on pins and needles and content to wait for the result.

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Posted
On 05/10/2024 at 12:03, Encora said:

A  hiccup in the system occurred, I tried to have that procedure done a.s.a.p., but the Urology admin said it would take another 2 or 3 weeks after the varous test and scans that followed the biopsy. 

from what i've read, a few weeks here or there won't make a difference as it is super important to get the diagnosis precisely right, wheras the cancer has been growing for many years to get to the point where it can be detected at all.

highly recommend reading Dr Patrick Walsh's Surviving Prostate Cancer for those who are in the risky range

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Posted
34 minutes ago, schnytzal said:

it ends up being not that different to most private hospitals, the savings is slight. however, for BPH and, possibly, prostate cancer, i'm interested in 2 doctors, and the other one's at Bumrungrad which is not as overpriced as people assume but still probably the most expensive hospital.

biopsy done, results 28th.

recovery  from biopsy has been rough, but only because i've been on a catheter for so long (since 7 July). prostate fluid leaks around the catheter. the first few days after the procedure this was about once an hour. it was... intense.

doc confirmed all symptoms are BPH symptoms, the visible lesion, whom I have named Spot, isn't big enough to cause a ruckus. will find out on the 28th if Spot is the sort of lesion likely to cause a ruckus. if not i may go for HoLEP, all the rmoved tissue can be biopsied unlike Rezum. if the biopsy finds cancer then it'll probably be radical prostatectomy. radiation as a main option doesn't sound great for me, because the BPH issue would still need treatment.

PSA and PSA density are RIGHT on the line for is it BPH only or BPH and cancer, so it remains a mystery until the 28th. strangely enough i'm not on pins and needles and content to wait for the result.

what side effects did you get from the biopsy? it's something they don't usually talk about

Posted
On 08/09/2024 at 07:28, kingofsurf said:

This past Thursday was my last radiation treatment for prostate cancer at the Bangkok cancer hospital in Bangkok.

..

So the canter was detected in BH Pattaya but they intervention (surgery so to speak of) was done in the main hospital in BKK?

Is this the standard procedure? They have the better surgeons and oncologists in BKK or was it just that they used a highly advanced MRI operation theatre?

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